| NPI | 1659825446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 09956) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012876A) |
| 122300000X Dentist (Licence: IL 019030891) | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2021-12-29 |