| NPI | 1407464423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DE G1-0011526) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 16960) |
| 1223G0001X Dentist, General Practice (Licence: PA DS042707) | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2024-11-27 |