| NPI | 1386132934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS041805) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 11311) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2026-03-18 |