| NPI | 1831408004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012077A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 8887) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2020-02-03 |