| NPI | 1992925309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3325) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 35232) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |