| NPI | 1649895541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 18815) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013492A) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2025-07-03 |