| NPI | 1558567396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012074A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 8665) |
| 1223G0001X Dentist, General Practice (Licence: KY 8589) | |
| 1223G0001X Dentist, General Practice (Licence: GA 014483) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2014-01-22 |