| NPI | 1396424800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN29365) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12014199A) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-07-16 |