| NPI | 1114493343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 12247) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA DDS102896) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2025-08-27 |