| NPI | 1730315615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: HI DT-2153) |
| Additional Taxonomies | 122300000X Dentist (Licence: HI DT-2153) |
| 1223G0001X Dentist General Practice (Licence: HI DT-2153) | |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2013-09-17 |