| NPI | 1174884282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 10739) |
| Additional Taxonomies | 122300000X Dentist (Licence: NV 7840) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2026-07-27 |