| NPI | 1215995683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2016012511) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 7169) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-10-17 |