| NPI | 1215225305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: IN 12011677A) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 10417) |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: KY 10417) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2023-04-12 |