| NPI | 1902115777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 61983) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 61983) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2025-07-30 |