| 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 |