| NPI | 1558979948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN-25376) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ID D-5187) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2021-10-25 |