| NPI | 1073893905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012044A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 6980) |
| 1223G0001X Dentist, General Practice (Licence: GA DN014276) | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2013-09-09 |