| NPI | 1891780433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6343-015) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D11775) |
| 1223G0001X Dentist, General Practice (Licence: OR D8838) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2014-01-28 |