| NPI | 1922131473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008133) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1001059) |
| 1223G0001X Dentist, General Practice (Licence: MD 15159) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-10-05 |