| NPI | 1396128161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61842) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2017002678) |
| 1223G0001X Dentist, General Practice (Licence: FL DN 21383) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2024-11-15 |