| NPI | 1043753577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN23104) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: GA DN123694) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2025-04-28 |