| NPI | 1598502833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12014690A) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN29132) |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2025-04-04 |