NPI | 1053676684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012035A) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN LDR120016) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2018-07-17 |