| NPI | 1073833372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: NC DN014946) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN014946) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN014946) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2026-08-18 |