| NPI | 1093419509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401419051) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN200280) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2025-02-25 |