| NPI | 1649704719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TN 12300) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: MD 16735) |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2023-08-22 |