| NPI | 1588493035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901602947) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN29475) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2026-04-03 |