| NPI | 1407020647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 8214) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC 4233) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2023-12-13 |