NPI | 1194208058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012980A) |
Additional Taxonomies | 122300000X Dentist (Licence: IN 12012980A) |
Enumeration Date | 2018-09-07 |
Last Update Date | 2023-06-07 |