| NPI | 1841537438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC Den1000832) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401412569) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |