| NPI | 1902580418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS044617) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 39584) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-11-05 |