| NPI | 1083710727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 26135) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 6663) |
| 1223G0001X Dentist, General Practice (Licence: IL 019-027164) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2026-02-25 |