| NPI | 1942304951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: IA 08125) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 0212) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-10-02 |