| NPI | 1053744227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401415815) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 8283) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2025-03-25 |