| NPI | 1215415476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN27546) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 61471) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2023-04-11 |