| NPI | 1598149569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12012879A) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901021584) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2026-01-29 |