| NPI | 1518287143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0001302) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DE G3-0000372) |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2020-12-15 |