| NPI | 1154060846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN30238) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN122754) |
| 122300000X Dentist (Licence: CO 00205412) | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2025-06-24 |