| NPI | 1073999215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC DT-11752) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: HI DT2602) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2022-07-20 |