| NPI | 1023287760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2007014939) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KS 60612) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2011-06-13 |