| NPI | 1083028476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12012148A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 9667) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2024-07-31 |