| NPI | 1659975084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TN 12143) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: VA 0401416685) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2025-08-13 |