| NPI | 1801667886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 14470) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 112507) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2026-02-10 |