| NPI | 1710992409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3322-04) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 3479) |
| 1223G0001X Dentist, General Practice (Licence: KY 6746) | |
| 1223G0001X Dentist, General Practice (Licence: TN 6892) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |