| NPI | 1528733326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 4613) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401417611) |
| 1223G0001X Dentist, General Practice (Licence: MD 17816) | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2023-05-23 |