| NPI | 1033593413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 1201823A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019030285) |
| 122300000X Dentist (Licence: MI 2901022447) | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2022-01-25 |