| NPI | 1245439090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019665) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011277A) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2023-03-02 |