| NPI | 1467760181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS OR-435-10) |
| Additional Taxonomies | 122300000X Dentist (Licence: MS 3458-08) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-11-30 |