| NPI | 1649925363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: HI CSDT-113) |
| Additional Taxonomies | 122300000X Dentist (Licence: OR D11869) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2024-04-20 |