| NPI | 1336553726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN015123) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12012178A) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2025-01-15 |