| NPI | 1942840327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN30477) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2025-06-13 |