| NPI | 1538282496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 10532) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 11937) |
| 122300000X Dentist (Licence: IL 019-023663) | |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2024-07-26 |