| NPI | 1174967277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IN 12012102A) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: IN 390200000) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2015-09-10 |