| NPI | 1588023584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 10800) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 10164) |
| 122300000X Dentist (Licence: FL DN24055) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2022-07-25 |