| NPI | 1780330027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 4277-22) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TN 11915) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-06-13 |