| NPI | 1154733509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TN 10656) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: IL 019030615) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2018-07-31 |