| NPI | 1144665167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011772A) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30-023897) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12011772A) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2020-12-20 |