| NPI | 1982939211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 788) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 8734) |
| 122300000X Dentist (Licence: SC 7146) | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2015-05-28 |