| NPI | 1952466237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV WV 3787) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 13914) |
| 1223G0001X Dentist, General Practice (Licence: PA DS036990) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-05-12 |