NPI | 1447682620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: HI DT3190) |
Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 27473) |
Enumeration Date | 2013-07-30 |
Last Update Date | 2025-02-20 |