| NPI | 1457843419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12013212A) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.025465) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-01-30 |