| NPI | 1396397048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12013180A) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 10885) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-07-07 |