| NPI | 1689994659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 14346) |
| Additional Taxonomies | 122300000X Dentist (Licence: DC DEN1000962) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2022-07-06 |