| NPI | 1861558991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 9562) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 051818) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2016-07-08 |