| NPI | 1093378192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN23895) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 23895) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2025-12-12 |