| NPI | 1821409871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS Pedo-534-17) |
| Additional Taxonomies | 122300000X Dentist (Licence: MS 3847-16) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 10230) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2018-03-28 |