| NPI | 1497480537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NH 04957) |
| Additional Taxonomies | 122300000X Dentist (Licence: VT 016.0134113) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2024-05-23 |