| 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 |