| NPI | 1932654852 |
|---|---|
| Other Name | NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 012014673A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.030897) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2025-06-03 |