| NPI | 1982056479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: HI DT-2833) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: OR D11136) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2021-02-16 |