| NPI | 1194208058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA 12012980A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12012980A) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2024-09-12 |