| NPI | 1699835173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN-31023) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401411244) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2025-09-22 |