| NPI | 1245562966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DE G10001399) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS038151) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2024-07-26 |