| NPI | 1588948228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12014500A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 0198860.02) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2025-06-19 |