NPI | 1609552876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: LA 7415) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MS 111417) |
Enumeration Date | 2023-06-23 |
Last Update Date | 2025-08-14 |