| NPI | 1891354908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 11596) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401416644) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2022-11-10 |