| NPI | 1407345234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: HI DT-3036-0) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS041658) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 061175) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-11-07 |