| NPI | 1043952831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: HI DT-3008) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 6000071-15) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2023-02-22 |