| NPI | 1356897623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 6689-C1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 10428) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2019-07-17 |