| NPI | 1720276009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 2285-86) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 7852) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2017-02-10 |