| NPI | 1568037588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2022008321) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013595A) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2023-07-01 |