| NPI | 1467061739 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 122300000X Dentist (Licence: HI DT-3143)  | 
| Additional Taxonomies | 122300000X Dentist (Licence: UT 11762591-9923)  | 
| Enumeration Date | 2020-07-23 | 
| Last Update Date | 2025-07-25 |