| NPI | 1952595399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MS OR-416-09) |
| Additional Taxonomies | 122300000X Dentist (Licence: MS 3388-06) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2014-11-24 |