| NPI | 1215509476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12013686A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013686A) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2023-03-10 |