| NPI | 1184944159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12011456A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12011456A) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2018-03-17 |