| NPI | 1417155482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011279A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019027436) |
| 122300000X Dentist (Licence: IN 12011279A) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2010-07-27 |