NPI | 1912380411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12013576A) |
Additional Taxonomies | 122300000X Dentist (Licence: KY 10213) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2021-06-24 |