| NPI | 1659007631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 12006) |
| Additional Taxonomies | 122300000X Dentist (Licence: HI DT-3032-0) |
| 1223G0001X Dentist, General Practice (Licence: TN 12006) | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-11-02 |