| NPI | 1740772656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901022573) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013129A) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2021-10-29 |