| NPI | 1215800602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: FL DTP857) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: FL DTP857) |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-10-10 |