| NPI | 1073929030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IN 12012787A) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 019.029886) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2020-06-16 |