| NPI | 1497530034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN30376) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401418618) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2025-07-28 |