| NPI | 1932717667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12013719A) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2020021496) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-09-23 |