| NPI | 1881034353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 3712-13) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TN 9661) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |