| NPI | 1851494926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN24634) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02108600) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2024-01-22 |