| NPI | 1235158221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011087A) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2006015360) |
| 122300000X Dentist (Licence: KS 60388) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-02-17 |