| NPI | 1386745644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 401412281) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12010250A) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-05-29 |