| NPI | 1730345471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS036771) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 34632) |
| 122300000X Dentist (Licence: OR D6287) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |