| NPI | 1578945333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D10-351) |
| Additional Taxonomies | 122300000X Dentist (Licence: HI DTT-263) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2022-08-18 |