| NPI | 1295938769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: DE G1-0001244) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS036920) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2016-04-17 |