| NPI | 1215754874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN123579) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DN123579) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2026-03-17 |