| NPI | 1841676152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 10133) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 5137057-9922) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2018-12-12 |