| NPI | 1710086509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6855-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 052088) |
| 1223G0001X Dentist, General Practice (Licence: NV 6076) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-09-10 |