| NPI | 1932412194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D 5251) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00007050) |
| 1223G0001X Dentist, General Practice (Licence: CA 26193) | |
| 1223G0001X Dentist, General Practice (Licence: UT 139251-9922) | |
| 1223G0001X Dentist, General Practice (Licence: MT 1782) | |
| 1223G0001X Dentist, General Practice (Licence: HI DT1878) | |
| 1223G0001X Dentist, General Practice (Licence: ID D 1903) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2014-05-02 |