NPI | 1508490921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12013910A) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 10508) |
Enumeration Date | 2020-02-25 |
Last Update Date | 2023-08-09 |