| NPI | 1356836936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS044332) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN.00203959) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2025-03-13 |