| NPI | 1942307756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA DDS-10271) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: FL DN19964) |
| 1223G0001X Dentist, General Practice (Licence: GA 11033) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-10-31 |