| NPI | 1780200279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 11308) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 23414) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |