| NPI | 1689337628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IN 12013782A) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12013782A) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2022-11-07 |