| NPI | 1083137293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012796A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 10005) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2021-06-10 |