| NPI | 1407449937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 11599) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 11599) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2023-11-28 |