| NPI | 1689992992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 27402) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: HI DT-2402) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2011-09-26 |