| NPI | 1326428319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DE G1-0011537) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DN002214) |
| 122300000X Dentist (Licence: PA DS040399) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-02-14 |