| NPI | 1386929545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011749A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 390200000X) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2016-07-15 |