| NPI | 1336349752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AR 3618) |
| Additional Taxonomies | 122300000X Dentist (Licence: AR 3618) |
| 1223G0001X Dentist General Practice (Licence: AR 3618) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2015-04-08 |