| NPI | 1427518018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 11630) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN24205) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-04-11 |