| NPI | 1437704913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN29850) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 35483) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2026-06-10 |