| NPI | 1912075854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15419) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN DS08915) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2009-02-19 |