| NPI | 1215814686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 125Q00000X Oral Medicinist (Licence: WA DENT.DE.70018867) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DENT.DE.70018867) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |