| NPI | 1518708072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN123453) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN29034) |
| 122300000X Dentist (Licence: DC DEN2000414) | |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2025-10-29 |