| NPI | 1215624788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D012527) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 9088226-8903) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2025-07-30 |