| NPI | 1811157183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 2154) |
| Additional Taxonomies | 122300000X Dentist (Licence: MT 2154) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2017-11-07 |