| NPI | 1922611052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NH 04604) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1858793) |
| 122300000X Dentist (Licence: NH 0005T) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2025-02-17 |