| 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 |