| NPI | 1265571491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 3158-00) |
| Additional Taxonomies | 122300000X Dentist (Licence: MS 315800) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2018-10-24 |