| NPI | 1548305352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WI 18302-875) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TN DS0000008512) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-09-22 |