NPI | 1952449464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: HI CSDT-60) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 6241) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 6241) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2014-01-23 |