| 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 |