| NPI | 1033270657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8399) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12010855a) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 8399) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-07-12 |