| NPI | 1538447321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12013065A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA DDS-09322) |
| 122300000X Dentist (Licence: IL 019028807) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2019-03-14 |