| NPI | 1205696309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN30507) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 12918) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2025-07-25 |