| NPI | 1437386372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 60650) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2009013245) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2014-02-25 |