| NPI | 1912348087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61018) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2013020767) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |