| NPI | 1609739143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 151495) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN123899) |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2026-04-17 |