| NPI | 1609552876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: LA 7415) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MS 111417) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2025-08-14 |