NPI | 1053142653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TN 12628) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TN 12628) |
Enumeration Date | 2024-08-13 |
Last Update Date | 2024-08-13 |