| NPI | 1922341460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN 20475) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PR 2798) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2014-04-10 |