| NPI | 1932886884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS DEN070015) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D011886) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2026-08-24 |