| NPI | 1609417005 |
|---|---|
| Former Name | SARAH BETH KURUVILLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 36631) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS042449) |
| 1223G0001X Dentist, General Practice (Licence: NM DD5216) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2021-10-20 |