| NPI | 1952733990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 6041 C1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 9964) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2025-06-03 |