| NPI | 1952804767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN28935) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1857874) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2026-02-06 |