| NPI | 1952509036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 8686) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 8686) |
| 1223G0001X Dentist General Practice (Licence: AL 5976) | |
| 122300000X Dentist (Licence: AL 5976) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2013-10-04 |