| NPI | 1215063342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0001237) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DE G3-0000332) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2023-01-10 |