| NPI | 1538320635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009289) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019022078) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2014-08-04 |