| NPI | 1013219062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 7805) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN DS4613) |
| 1223G0001X Dentist, General Practice (Licence: NE Dental Faculty 116) | |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2022-10-26 |