| NPI | 1487282760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 4697) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 11370) |
| 1223G0001X Dentist, General Practice (Licence: MS 4183-21) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2023-09-21 |