| NPI | 1821832734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 30189) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 14116) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2025-06-15 |