| NPI | 1861380511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 12985) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D012536) |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2026-05-21 |