| NPI | 1578445557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 42008) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS045332) |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2026-06-02 |