| NPI | 1457474082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12010441A) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901021135) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2015-09-16 |