| NPI | 1033604418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 10902) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 4291) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2023-07-14 |