| NPI | 1447819784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: IN 12014626A) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: MA DL14004) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2024-12-11 |