| NPI | 1962563205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15314) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: FL DN 15314) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-05-03 |