| NPI | 1568136646 |
|---|---|
| Former Name | MARYAM HASANALI BOHRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D14648) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D14648) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |