| NPI | 1720485121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 9957) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 10893) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2025-11-01 |