| NPI | 1962029934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12014860A) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 7109) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2025-08-20 |