NPI | 1083084347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012290A) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12012290B) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2020-10-24 |