| NPI | 1235494964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60829) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2014004314) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2020-12-08 |