| NPI | 1982860607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 03751) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028087) |
| 122300000X Dentist (Licence: IL 018.001689) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2011-12-02 |