| NPI | 1962560631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 8466) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN DS8466) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-10-30 |