| NPI | 1265882963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12013471A) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 100267) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-04-29 |