| 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 |