| NPI | 1265635676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AR 37) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 3375-06) |
| 1223G0001X Dentist, General Practice (Licence: AR 4076) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-07-21 |