| NPI | 1730591298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AK 1559) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AK DEND1559) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2022-03-03 |