| NPI | 1922395474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012357A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019028727) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2016-07-14 |