| NPI | 1699332957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 131) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2019016637) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2025-09-02 |