NPI | 1922113794 |
---|---|
Former Name | ROOPA DEVI PURUSHOTHAMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO DEN.00205362) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002343) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2024-09-20 |