| NPI | 1285908772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 9828) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 9828) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2024-02-29 |