| NPI | 1427438936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D009829) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012312A) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2020-07-28 |