| NPI | 1255399135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT-2012) |
| Additional Taxonomies | 122300000X Dentist (Licence: HI DT-2012) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-01-02 |