NPI | 1891009346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA DDS103462) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12012022A) |
122300000X Dentist (Licence: IN 12012022A) | |
Enumeration Date | 2010-07-27 |
Last Update Date | 2024-04-04 |