| NPI | 1023148244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN12140) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: FL 12140) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2025-01-14 |