| NPI | 1922415561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 1202154A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012154A) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2021-05-19 |