| NPI | 1639232473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4230) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 120011669) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-08-27 |