| NPI | 1568620730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 61125) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MT 2287) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2018-07-30 |