| 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 |