| NPI | 1821472325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12012992A) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 31172) |
| 122300000X Dentist (Licence: IN 12012992A) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2021-05-13 |