| NPI | 1174681548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22788) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12010585A) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-04-26 |