| NPI | 1750641833 |
|---|---|
| Other Name | AYESHA MIR SIDDIQUA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8198) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 8198) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2015-10-22 |