| NPI | 1548378896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL C6361) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MD 11874) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2019-08-12 |