| NPI | 1114921491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: SC 3116/PERIO 470) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MD 11759) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2023-10-10 |