| NPI | 1144007774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 62108) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 00205854) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2024-02-19 |