| NPI | 1154515609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401414226) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12011268A) |
| 1223G0001X Dentist, General Practice (Licence: IN 12011268A) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2019-12-20 |