| NPI | 1467836361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12012675A) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9627) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2021-09-17 |