NPI | 1467208124 |
---|---|
Former Name | KARUNA PRAKASH TRIVEDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MD 6206) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VA 0402207045) |
Enumeration Date | 2024-04-24 |
Last Update Date | 2024-04-24 |