| NPI | 1427702505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401419486) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 13080) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2025-06-25 |