| NPI | 1861060568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 13496) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 7522) |
| 122300000X Dentist (Licence: TN 11606) | |
| 122300000X Dentist (Licence: CT 13496) | |
| 122300000X Dentist (Licence: AL 7522) | |
| 1223G0001X Dentist, General Practice (Licence: TN 11606) | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2025-11-10 |