| NPI | 1750729851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 9875) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: KY 9336) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2022-12-27 |