| NPI | 1912375866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 11247) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 65044) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2024-09-24 |