| NPI | 1063534857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 8176) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 130) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2022-02-14 |