| NPI | 1225193691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D12339) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D12339) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2023-08-30 |