| NPI | 1083884282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D9760) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS036958) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2020-11-06 |