| NPI | 1548953870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 13954) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2024-08-19 |