| NPI | 1326027038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12012647A) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 8338) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2022-06-15 |