| NPI | 1891475505 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN28161)  | 
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 39779)  | 
| Enumeration Date | 2023-07-19 | 
| Last Update Date | 2024-03-19 |