| NPI | 1346849452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 11795) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 105332) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2023-10-17 |