| NPI | 1215454830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D15019) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 1001633) |
| 1223G0001X Dentist, General Practice (Licence: FL DN23741) | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2023-10-26 |