| NPI | 1538702816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 12281) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN12602) |
| 122300000X Dentist (Licence: KS 62027) | |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2024-01-07 |