| NPI | 1639277908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 12489) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AK 175422) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-10-10 |