| NPI | 1114288438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 10914) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2014027290) |
| 122300000X Dentist (Licence: TN DS10914) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2025-08-07 |