| NPI | 1730336454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN FF47) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 52999) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2010-10-22 |