| NPI | 1811474703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: AR 4805) |
| Additional Taxonomies | 122300000X Dentist (Licence: AR 4805) |
| 122300000X Dentist (Licence: TX 34218) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2025-04-22 |