| NPI | 1245560879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12012575A) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 6018) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2024-04-15 |