| NPI | 1356895593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 1001405-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN.00203727) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2020-01-15 |