| NPI | 1063820132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 4632) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 9529) |
| 122300000X Dentist (Licence: KY 9529) | |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2022-04-15 |