| NPI | 1225605298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 7413) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 064584) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2025-09-12 |