| NPI | 1245690585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 11256) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.031509) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2023-02-10 |