NPI | 1033573662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN21821) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN21821) |
1223G0001X Dentist, General Practice (Licence: FL DN21821) | |
1223G0001X Dentist, General Practice (Licence: PA DS040810) | |
1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS040810) | |
Enumeration Date | 2016-04-10 |
Last Update Date | 2024-01-27 |