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 |