| NPI | 1598128886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: MS 4241) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 6665) |
| 122300000X Dentist (Licence: AR 4155) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-02-17 |