| NPI | 1780428912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 14048260-9926) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401419919) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2026-04-30 |