| NPI | 1194108456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 10310) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 10119) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2018-10-03 |