| NPI | 1548624547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 13341) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 76853939) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-10-08 |