NPI | 1144696410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012608A) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.030419) |
Enumeration Date | 2015-08-20 |
Last Update Date | 2021-02-25 |