| NPI | 1609133610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15283) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN19748) |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2016-12-01 |