| NPI | 1932488996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 22344) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 10841) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2016-11-11 |