| NPI | 1598177768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 10032) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN014822) |
| 1223G0001X Dentist, General Practice (Licence: TN 10032) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2023-07-10 |