| NPI | 1548227333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16782) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401410480) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |