| NPI | 1528229416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 60563) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 6038) |
| 122300000X Dentist (Licence: VA 0401412717) | |
| 122300000X Dentist (Licence: TX 27594) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2013-06-26 |