| NPI | 1184242364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 38945) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013440A) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-05-18 |