| NPI | 1073998399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS042052) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012302A) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2021-01-14 |