| NPI | 1932894425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: DE G1-0011586) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS044658) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-08-17 |