| NPI | 1558499608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IN 12010792A) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IN 12010792A) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2012-12-17 |