| NPI | 1285326116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 14541) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MI 2901601717) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2026-01-09 |