| NPI | 1083309447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN26529) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 17551) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2026-01-29 |