| NPI | 1255852661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 10949) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN LDR170183) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2019-07-25 |