| NPI | 1265871354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-5119) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN20190) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2024-06-24 |