| NPI | 1366679789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12011775A) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 57461) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2014-07-16 |