| NPI | 1760630610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011254A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.027751) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2022-01-11 |