| NPI | 1013323310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9802) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 9802) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2025-05-21 |