| NPI | 1588072045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12012082A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012082A) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2021-12-20 |