| 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 |