| NPI | 1902593692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: WI 6001190-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 6001190) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2026-03-05 |