NPI | 1134780307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AR 4514) |
Additional Taxonomies | 122300000X Dentist (Licence: TN 11102) |
122300000X Dentist (Licence: MS 4072-19) | |
Enumeration Date | 2019-06-27 |
Last Update Date | 2022-09-22 |