| NPI | 1730407891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8914) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011736A) |
| 122300000X Dentist (Licence: KY 8914) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2012-03-22 |