| NPI | 1932621224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN2001595) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401416258) |
| 1223G0001X Dentist, General Practice (Licence: NC 51157) | |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2025-11-05 |