| NPI | 1598243651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D010617) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12013021A) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-08-10 |