| NPI | 1033241864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DE G1-0001236) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DE G1-00001236) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-09-05 |