| NPI | 1790842003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12010928A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 19026963) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-06-20 |