| NPI | 1699261305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901022754) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12013506A) |
| 1223D0001X Dentist, Dental Public Health (Licence: MI 2901022754) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2022-06-22 |