| NPI | 1396611562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: IN 12014885A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12014885A) |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-16 |