| NPI | 1154161867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 11151) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12014438A) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |