NPI | 1992842793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 12444) |
Additional Taxonomies | 122300000X Dentist (Licence: TN 12444) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2025-06-04 |