| NPI | 1003507922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 13078) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 7689) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2026-07-06 |