| NPI | 1497140636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN DS0000009904) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN DS0000009904) |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2020-03-04 |