NPI | 1740675305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G1-0001375) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: DE G1-0001375) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2021-01-06 |