| NPI | 1346595121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012913A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 28182) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2018-07-30 |