| NPI | 1902328917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12012767A) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D011894) |
| 122300000X Dentist (Licence: IL 019.031243) | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2024-03-15 |