| NPI | 1053157107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 14672) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN29115) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2026-09-09 |