| NPI | 1013216605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN 18711) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 29480) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 10522) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2015-05-04 |