| NPI | 1902545932 |
|---|---|
| Former Name | AMRITA AMAR SWAMY MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.033872) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2023-02-21 |