| NPI | 1619388139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12012117A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012117A) |
| 1223G0001X Dentist, General Practice (Licence: IN 12012117A) | |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2022-10-20 |