| NPI | 1548954118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 12328) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 12328) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2025-07-12 |