| NPI | 1932260403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN18607) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019026725) |
| 122300000X Dentist (Licence: KY 8973) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-06-26 |