| NPI | 1497449490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 14137) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AZ D011789) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2025-07-18 |