NPI | 1811569692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: TN 11656) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 11656) |
Enumeration Date | 2021-07-12 |
Last Update Date | 2021-09-07 |