| NPI | 1174726947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 3788) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS037156) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2025-07-15 |