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 |