| NPI | 1528409448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: DE G1-0001460) |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: MD 16241) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 16241) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: DE G1-0001460) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2020-08-11 |