| NPI | 1356887186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 10041) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 6327) |
| 122300000X Dentist (Licence: MN D14095) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 11275) | |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2022-05-03 |