| NPI | 1386751535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 6846) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 015510) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2025-04-27 |