| NPI | 1952018582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12013813A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.33766) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |