| NPI | 1215547922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS044907) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D15015) |
| 122300000X Dentist (Licence: OR D11279) | |
| 122300000X Dentist (Licence: TN 11485) | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2026-01-08 |