NPI | 1285016774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KS 61354) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN LDR150127) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2019-01-11 |