| NPI | 1801465687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901601136) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013640A) |
| 1223G0001X Dentist, General Practice (Licence: FL DN26078) | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2025-04-18 |