| NPI | 1467891606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 3944) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 9668) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2017-04-28 |