NPI | 1366621575 |
---|---|
Former Name | NABILA BASIT MALIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: WV 4146) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 053676-1) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2025-10-13 |