| NPI | 1811738826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 18609) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS044657) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2025-08-03 |