| NPI | 1588068878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61248) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 8454) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2020-04-28 |