| NPI | 1467060509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TN 11348) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: MS 4148) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2023-11-27 |