| NPI | 1992316129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12013456A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 120123456B) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-31 |