| NPI | 1881718922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: MI 2901016430) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901016430) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-07-27 |