| NPI | 1992913362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4273) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401410909) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-06-19 |