| NPI | 1659565299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011005A) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 25549) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2011-10-20 |