| NPI | 1942259254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS0000007821) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 7821) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2024-08-07 |