| NPI | 1083945158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 14427) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401413542) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1000878) | |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2023-05-03 |