| NPI | 1528441375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: HI DT-3070) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 61220) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2026-04-07 |