| NPI | 1528371978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 123G0001X) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: LA 6337) |
| 1223G0001X Dentist General Practice (Licence: MS 4025-18) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2018-09-07 |