NPI | 1568031086 |
---|---|
Former Name | POORANDAI SANICHARRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN25999) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 39953) |
Enumeration Date | 2021-06-19 |
Last Update Date | 2023-08-24 |