| NPI | 1982865812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 6034) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 3728) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2016-07-01 |