| NPI | 1265176648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: LA P-216) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA P-216) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2026-06-05 |