| NPI | 1730281130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9946) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN17140) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2015-07-09 |