NPI | 1821780727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 111404) |
Additional Taxonomies | 122300000X Dentist (Licence: MS 4497-25) |
1223P0221X Dentist, Pediatric Dentistry (Licence: MS 4497-25) | |
Enumeration Date | 2023-05-22 |
Last Update Date | 2025-08-12 |