| NPI | 1073508834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS031556L) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS-031556-L) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2023-06-13 |