| NPI | 1295883338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: HI DT-2277) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA 20714) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |