| NPI | 1710396361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 04131) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 1000983-15) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2026-01-21 |