| NPI | 1447345483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60333) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 6568) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |