| NPI | 1669693271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TN 8667) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 8667) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-03-03 |