| NPI | 1609926682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WV 4618) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 9940) |
| 122300000X Dentist (Licence: VA 0401414982) | |
| 122300000X Dentist (Licence: GA DN012337) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-05-05 |