| NPI | 1881328979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN31441) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 00205147) |
| 122300000X Dentist (Licence: CA 107623) | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2026-05-14 |