| NPI | 1285159848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 167559) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 17131) |
| 1223G0001X Dentist, General Practice (Licence: PA DS041421) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2021-02-26 |