| NPI | 1942518253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011733A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02440100) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2011-10-15 |