| NPI | 1548756877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12014559A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.031779) |
| 122300000X Dentist (Licence: MI 2901602092) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2025-07-07 |