| NPI | 1356125587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 12500) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901601798) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-07-15 |