| NPI | 1285791277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011105A) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 10657) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-06 |