| NPI | 1760504484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT 2329) |
| Additional Taxonomies | 122300000X Dentist (Licence: MT 2329) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-10-22 |