| NPI | 1093367559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS042332) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC DGD.10195) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2026-06-22 |