| NPI | 1710166848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011765A) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: MI 2901019721) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2012-02-07 |