| NPI | 1578117651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 12574) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.032294) |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2024-08-18 |