| NPI | 1831760123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN30013) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL D-0006932-C1) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2025-12-22 |