| NPI | 1689988487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 7066) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 60729) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2023-11-03 |