| NPI | 1609941178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 17079) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 23852) |
| 1223E0200X Dentist, Endodontics (Licence: MS 084-84) | |
| 122300000X Dentist (Licence: MS 1928-81) | |
| 122300000X Dentist (Licence: LA 4675) | |
| 122300000X Dentist (Licence: GA 013262) | |
| 1223E0200X Dentist, Endodontics (Licence: LA 4675) | |
| 1223E0200X Dentist, Endodontics (Licence: FL DN23852) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-11-14 |