| NPI | 1730787052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 40416) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013501A) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2025-03-12 |