| NPI | 1750687695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 2809) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 2809) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2025-07-28 |