| NPI | 1871744102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14268) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1000743) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2022-09-08 |