| NPI | 1720846504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 2.014324) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.035080) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2025-07-08 |