| NPI | 1932718087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 12165) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 36388) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2023-07-02 |