| NPI | 1720216880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 9009) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 25093) |
| 122300000X Dentist (Licence: AR 3749) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2011-03-15 |