| NPI | 1144908005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID 3471556) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 7453) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-05-30 |