| NPI | 1225322217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 9021) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 9021) |
| 122300000X Dentist (Licence: TN 9515) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2016-03-01 |