| NPI | 1952642571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PR 3429) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: FL DN22982) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2023-08-28 |