| NPI | 1679711444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 4254) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 6916) |
| 1223G0001X Dentist, General Practice (Licence: NJ 22D102379900) | |
| 1223G0001X Dentist, General Practice (Licence: TX 26336) | |
| 1223G0001X Dentist, General Practice (Licence: MS 4084-19) | |
| Enumeration Date | 2009-01-31 |
| Last Update Date | 2019-09-16 |