| NPI | 1164683462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 8835) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 8835) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-10-25 |