| NPI | 1003225467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN25624) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012195A) |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2023-06-21 |