| NPI | 1407309586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12012860A) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.24818) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2018-03-17 |