| NPI | 1689834723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1000752) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401412048) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-11-10 |