| NPI | 1609910629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 8287) |
| Additional Taxonomies | 1223D0001X Dentist Dental Public Health (Licence: NC 8287) |
| 1223G0001X Dentist General Practice (Licence: FL 14726) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2011-11-22 |