| NPI | 1679551881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 9815) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 60009) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-11-04 |