| NPI | 1093307571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D11867) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 000011953) |
| Enumeration Date | 2021-02-06 |
| Last Update Date | 2025-04-08 |