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 |