| NPI | 1790389419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12014375A) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 063657) |
| 122300000X Dentist (Licence: CA 105448) | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2024-06-06 |