| NPI | 1811926082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901013720) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 052548) |
| 122300000X Dentist (Licence: IL 019.026922) | |
| 122300000X Dentist (Licence: PA DS036753) | |
| 122300000X Dentist (Licence: MA 21529) | |
| 122300000X Dentist (Licence: CT 009558) | |
| 122300000X Dentist (Licence: DC DEN1000517) | |
| 122300000X Dentist (Licence: RI DEN02921) | |
| 122300000X Dentist (Licence: VT 016-0002217) | |
| 122300000X Dentist (Licence: NJ DI02315800) | |
| 122300000X Dentist (Licence: NH 03529) | |
| 122300000X Dentist (Licence: MD 13640) | |
| 122300000X Dentist (Licence: KS 60411) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-07-08 |