| NPI | 1043316557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12013410A) |
| Additional Taxonomies | 122300000X Dentist (Licence: GU 1023) |
| 122300000X Dentist (Licence: MI 2901022137) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-30 |