| NPI | 1578295242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 62228) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE61621671) |
| 1223G0001X Dentist, General Practice (Licence: FL DN27362) | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2025-09-30 |