| NPI | 1366996084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 10324) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401415249) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |