| NPI | 1831975457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12014268A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.034589) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-10-25 |