| NPI | 1689833519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2009008936) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 60554) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2022-06-28 |