| NPI | 1295414928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 12286) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 28319) |
| 122300000X Dentist (Licence: TN 12286) | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-02-18 |