| NPI | 1356638910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08831) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 7879) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2025-08-13 |