| NPI | 1215597448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 10991) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 10991) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-10-24 |