| NPI | 1770337925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: DE G8-CH00014) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI03031000) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-07-23 |