| NPI | 1013284553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12013725A) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DL11457) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2021-12-15 |