| NPI | 1841407954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 7051) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2023001624) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2026-01-06 |