| NPI | 1942992862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN123863) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-07-17 |