NPI | 1245664143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011981A) |
Additional Taxonomies | 122300000X Dentist (Licence: IN 12011981A) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2023-03-23 |