| NPI | 1609369891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN25813) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN25813) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2025-05-09 |