| NPI | 1285867531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AK 157936) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OR D9349) |
| 1223G0001X Dentist General Practice (Licence: NY 055879) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2025-01-06 |