NPI | 1114145471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN TN5017) |
Additional Taxonomies | 122300000X Dentist (Licence: AK 972) |
1223P0221X Dentist, Pediatric Dentistry (Licence: AK 113) | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2013-02-21 |