| NPI | 1861844144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TN 11570) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN22067) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2025-09-17 |