| NPI | 1023799574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 12278) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 0000012278) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2024-05-09 |