| NPI | 1598713620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7224) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: KY 7224) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-02-27 |