| NPI | 1346811619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 12044) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN122417) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2023-08-09 |