| NPI | 1518845650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD D1494) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D15379) |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |