| NPI | 1952659997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011869A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029170) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |