| NPI | 1730489451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AR 4104) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2010016284) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2018-05-14 |