| NPI | 1427796374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 129) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 390200000X) |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2025-02-13 |