| NPI | 1275643371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011104A) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 8370) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-11-03 |