| NPI | 1124476114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012474A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012474A) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2022-12-12 |