| NPI | 1518443738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: OK 7083) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OK 7083) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2020-04-07 |