| 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 |