| NPI | 1801465687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN26078) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IN 12013640A) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2023-10-31 |