| NPI | 1023498987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3798-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 10041) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-10-29 |