| NPI | 1205454725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA DDS-10194) |
| Additional Taxonomies | 122300000X Dentist (Licence: NE 7991) |
| 122300000X Dentist (Licence: IA DDS-10194) | |
| 122300000X Dentist (Licence: TX 36299) | |
| 122300000X Dentist (Licence: FL 25582) | |
| 122300000X Dentist (Licence: CA 108663) | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2024-09-04 |