| NPI | 1710747340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 05243) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN10001423) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2026-06-04 |