| NPI | 1568690675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN LDF230019) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 150720) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2025-08-19 |