| NPI | 1821575366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61548) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 39399) |
| 122300000X Dentist (Licence: OK 7054) | |
| 122300000X Dentist (Licence: MO 2019009495) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2023-07-14 |