| NPI | 1750951885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 12028) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 26181) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-09-12 |