| NPI | 1891282091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 7314) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D010420) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2020-02-06 |