| NPI | 1891074183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19497) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401413257) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2014-01-15 |