| 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 |