| NPI | 1881959658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: TN 9508) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN20035) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2020-09-03 |