| NPI | 1992208276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D14504) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12013100A) |
| 122300000X Dentist (Licence: KY 10397) | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2021-04-14 |