| NPI | 1285314955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12014389A) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS044218) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-10-28 |