| NPI | 1922528405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IN 12013113A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 190.031987) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2019-07-17 |