| NPI | 1679185482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 11035) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013478A) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2023-10-18 |