| NPI | 1013137470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 12019) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN13801) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-05-30 |