| NPI | 1841184389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 41810) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 30648) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-09-02 |