| NPI | 1578899837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 9386) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 9386) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2023-08-31 |