| NPI | 1013408954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12013004A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 10087) |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2020-08-07 |