| NPI | 1235804220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 7762) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 8065) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2026-06-15 |