| NPI | 1891287405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12013743A) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D14027) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-08-25 |