| NPI | 1720729098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2025036886) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN27589) |
| 122300000X Dentist (Licence: HI DT-2999) | |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2025-09-23 |