| NPI | 1801399233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 11649) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02773300) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2024-03-06 |