| NPI | 1730234154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 11178) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 042603-1) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-05-04 |