| NPI | 1245872381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 36232) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12013276A) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2021-01-20 |