| NPI | 1093193484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 13593) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 1001031) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2025-05-29 |