| NPI | 1871085258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12012906A) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401415558) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2019-06-24 |