| NPI | 1598177784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 9532) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 9532) |
| 1223G0001X Dentist, General Practice (Licence: TN 10007) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2020-06-25 |