| NPI | 1699203612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12013174A) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL 22514) |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2023-09-06 |