| NPI | 1023635398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2023026838) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 61669) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2025-12-29 |