| NPI | 1942434782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15776) |
| Additional Taxonomies | 122300000X Dentist (Licence: DE G3-0000364) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2018-12-26 |