| NPI | 1528341674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 10984) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA 08859) |
| 122300000X Dentist (Licence: IL 019028862) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2021-04-08 |