| NPI | 1285945550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011438A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 8890) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2013-03-19 |