| NPI | 1386802734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 11160) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 12486) |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2023-11-06 |