| NPI | 1164114047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 1239) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12014069A) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-07-12 |