| NPI | 1831762863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 7518) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 37419) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-09-16 |