| NPI | 1801899547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TN 7752) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: GA 12600) |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2007-07-08 |