| NPI | 1558687293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE61100291) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901020106) |
| 1223G0001X Dentist, General Practice (Licence: IL 019028228) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2021-03-11 |