| NPI | 1548342413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 21427) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 13753) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2026-06-17 |