| NPI | 1619313418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 9924) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 20292) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2014-09-17 |