| NPI | 1790128189 |
|---|---|
| Former Name | SHINEY SAMUEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 28729) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 7853) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2026-07-23 |