| NPI | 1891629309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 62365) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2026022104) |
| Enumeration Date | 2026-06-10 |
| Last Update Date | 2026-06-10 |