| NPI | 1093973356 |
|---|---|
| Former Name | KRUPALI MALAY THACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 056445) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019027638) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2019-07-17 |