| NPI | 1407009194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 05120) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 22321) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2025-01-14 |