| NPI | 1184774044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 20553) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 20553) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2025-10-17 |