| NPI | 1831400233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401415279) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS038243) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2016-09-26 |