NPI | 1225662026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: HI DT-3037) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
1223G0001X Dentist, General Practice (Licence: CA 106907) | |
Enumeration Date | 2020-03-02 |
Last Update Date | 2024-10-02 |