| NPI | 1881343465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 125Q00000X Oral Medicine (Licence: GA DN123762) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN123762) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-07-18 |