| NPI | 1669089413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 142) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12014636A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA RES-30597) | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2025-07-23 |