| NPI | 1841346145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 9567) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12010875A) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2013-08-22 |