| NPI | 1225480544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12013335A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 091.030688) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2020-12-16 |