| NPI | 1760869622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 12055) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 11677) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: HI 98) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 32478) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: HI 2874) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2024-12-17 |