| 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 |