| NPI | 1033596812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA 042095) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019.030315) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 64674) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2025-02-17 |