| NPI | 1932711769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: HI DT-3165-0) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO DEN.00204473) |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2024-06-13 |