| NPI | 1497851851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901602840) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 18605) |
| 122300000X Dentist (Licence: FL DN14696) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2026-01-08 |