| NPI | 1952032823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12014060A) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN122724) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2024-03-15 |