| NPI | 1477383222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN30244) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D15182) |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2025-09-21 |