| NPI | 1609121367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 19842) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D 8549) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2013-04-01 |