| NPI | 1295891513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS040722) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401412769) |
| 1223G0001X Dentist General Practice (Licence: VA 0401412769) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-01-17 |