| NPI | 1689819906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 14554) |
| Additional Taxonomies | 122300000X Dentist (Licence: DC DEN1000795) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2024-03-22 |