NPI | 1528795945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 108479) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: HI DT-3188-0) |
Enumeration Date | 2022-08-05 |
Last Update Date | 2024-11-11 |