| NPI | 1558890285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61386) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2017015986) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-06-08 |