| NPI | 1699203612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 10757) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 1201317A) |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2025-05-04 |