| NPI | 1770515389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS PEDO-399-06) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 3296-04) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-03-07 |