| NPI | 1679691307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011106a) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401411657) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-01-08 |