| NPI | 1376388264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MS 112253) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 12527) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2026-02-03 |