| NPI | 1104565522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 13050) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 26854) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2026-03-11 |