| NPI | 1740307826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn16887) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 58897) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-01-26 |