| NPI | 1124151592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12009724) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 47207) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |