| NPI | 1285800524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DE G1-0001282) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DE G3-0000351) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2013-08-27 |