| NPI | 1891479143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401419757) |
| Additional Taxonomies | 122300000X Dentist (Licence: HI DT30810) |
| 122300000X Dentist (Licence: MD 18214) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2026-08-20 |