| NPI | 1225267925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 7137-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12009870A) |
| 122300000X Dentist (Licence: IL 019.028308) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2013-10-02 |