| NPI | 1043665227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN23996) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D010515) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 35803) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2022-07-21 |