| NPI | 1841640521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12012989A) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901021848) |
| 1223G0001X Dentist, General Practice (Licence: IN 12012989A) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2019-01-28 |