| NPI | 1770933186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 10462) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401415236) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2018-12-18 |