| NPI | 1235790668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12013605A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12013605A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0401416579) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-05-24 |