| NPI | 1699865998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008395) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12008395A) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2009-12-17 |