| NPI | 1437342821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 13355) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 9512) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2022-09-29 |