| NPI | 1679126163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 7235) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 61678) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-02-28 |