| NPI | 1639547946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE60976626) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012458A) |
| 122300000X Dentist (Licence: IL 319019500) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2025-02-18 |