| NPI | 1598998833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D008379) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS037605) |
| 1223G0001X Dentist, General Practice (Licence: MA DN1855219) | |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2012-10-02 |