| NPI | 1144063249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MN D15097) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MN D10597) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-28 |