| NPI | 1083848931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS041188) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22D102436200) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 558983-1) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: DE GI-0001307) | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2021-03-30 |