| NPI | 1669422127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011041A) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901019059) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-04-17 |