| NPI | 1043691165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN122195) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 10053) |
| 1223G0001X Dentist, General Practice (Licence: NM DD4758) | |
| 1223G0001X Dentist, General Practice (Licence: IN 12012340A) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2021-01-06 |