| NPI | 1760795066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011572B) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 8869) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2025-04-14 |