| NPI | 1033709191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN26795) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013539A) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2022-07-06 |