| NPI | 1689081937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NC 12160) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 9973) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2021-09-01 |