| NPI | 1952525008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN10569) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WV 2844) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-09 |