| NPI | 1598243651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS110257) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12013021A) |
| 122300000X Dentist (Licence: AZ D010617) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2026-04-15 |