| NPI | 1801182191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN28691) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 13053) |
| 1223G0001X Dentist, General Practice (Licence: CA 110008) | |
| 122300000X Dentist (Licence: VA 0401413175) | |
| 1223G0001X Dentist, General Practice (Licence: NY 060357) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2026-03-18 |