| NPI | 1972392991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN2001544) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 18719) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-06-09 |