| NPI | 1427431261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 10410) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 4056) |
| 1223G0001X Dentist, General Practice (Licence: MS 4338-22) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2024-07-22 |