| NPI | 1871662353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 6384) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: CA 103643) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2025-06-16 |