| NPI | 1255390076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: FL DN15282) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 64332) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2026-05-04 |