| NPI | 1881906634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011470A) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: LA 6088) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2018-08-10 |