| NPI | 1932485273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2013043433) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 08851) |
| 1223G0001X Dentist, General Practice (Licence: OK 6350) | |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2017-06-09 |