| NPI | 1780722777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026847-L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS026847L) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2010-09-24 |