| NPI | 1285328609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2025000359) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 62102) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2025-02-07 |