| NPI | 1245491547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 9442) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011182A) |
| 1223G0001X Dentist, General Practice (Licence: KY 8836) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2013-06-06 |