| NPI | 1558134601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN28616) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02952700) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2025-02-05 |