| NPI | 1932893476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MT 25951) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TN 12190) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2024-02-26 |