| NPI | 1518564210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 416520) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 9808) |
| 1223G0001X Dentist, General Practice (Licence: TN 12220) | |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2026-08-07 |