| NPI | 1821076944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN18603) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN013137) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2013-01-29 |