| NPI | 1922287622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CT 009324) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 009324) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |