| NPI | 1689833998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011588A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 8599) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2011-06-30 |