| NPI | 1760741458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 10938) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019031978) |
| 122300000X Dentist (Licence: CA 62605) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-04-09 |