| NPI | 1982969853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AR 3873) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 28054) |
| 122300000X Dentist (Licence: TN 9471) | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2015-04-17 |