| NPI | 1194219246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12013893A) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 10155) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2022-08-01 |