| NPI | 1275659310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: TN 7266) |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: AL 4633) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-12-19 |