| NPI | 1124648910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: HI DT-2895) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 40035) |
| 122300000X Dentist (Licence: CT 12671) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2023-11-17 |