| NPI | 1033099015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 112330) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TX 41735) |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |