| NPI | 1598146078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12012279A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019030166) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |