| NPI | 1104911544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411539) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011047A) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2026-03-10 |