| NPI | 1184185357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN D14371) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 24530586) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D14371) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-01-02 |