| NPI | 1114247350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 10413) |
| Additional Taxonomies | 122300000X Dentist (Licence: MS 4026-18) |
| 122300000X Dentist (Licence: NC 8943) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2023-03-02 |