| NPI | 1184232340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12013570A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.032701) |
| 1223G0001X Dentist, General Practice (Licence: MO 2020023698) | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2021-06-28 |