| NPI | 1477518942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12013316A) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS029852L) |
| 1223G0001X Dentist, General Practice (Licence: GA DN013492) | |
| 122300000X Dentist (Licence: GA DN013492) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-02-01 |