| NPI | 1164001533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2022019220) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 4551) |
| 1223G0001X Dentist, General Practice (Licence: KS 62416) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2026-01-06 |