| NPI | 1013534486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 121014619A) |
| Additional Taxonomies | 122300000X Dentist (Licence: VT 016.0133961) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2025-03-11 |