| NPI | 1912562869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: AR AR27) |
| Additional Taxonomies | 122300000X Dentist (Licence: AR 4796) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2026-08-05 |