| NPI | 1568195683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401418795) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 27149) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2025-05-16 |