| NPI | 1558794404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MT 6005) |
| Additional Taxonomies | 122300000X Dentist (Licence: MT 6005) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |