| NPI | 1265158489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: HI DT-3028-0) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: HI DT-3028-0) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2024-06-11 |