| NPI | 1548060593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 62293) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 4834) |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2026-03-09 |