| NPI | 1932439635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN18884) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 58645) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-12-13 |