| NPI | 1598212516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA 122923) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 10872) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2023-01-02 |