| NPI | 1568847069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 10607) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM DD4367) |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2018-09-05 |