| NPI | 1831384825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 6367) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA z11759) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2013-05-18 |