| NPI | 1689449001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 18351) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN28475) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2025-01-21 |