| NPI | 1801672621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: GA DN123220) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: PR 003427) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2025-09-24 |