| NPI | 1457640641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2010017989) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 61142) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2022-10-20 |