| NPI | 1912946872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: IN 12010577) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12010577) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-12-18 |