| NPI | 1154082337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN124128) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 600142515) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2026-07-10 |