| NPI | 1922273481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2020005163) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 62065) |
| 122300000X Dentist (Licence: AR 3142) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2026-03-18 |