| NPI | 1851158406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA DDS112849) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12014506A) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2026-07-31 |