| NPI | 1013640499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0011515) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS043372) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-09-02 |