| NPI | 1134439144 |
|---|---|
| Former Name | MIRA KHAROTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038260) |
| Additional Taxonomies | 122300000X Dentist (Licence: OR D10523) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2019-04-16 |