| NPI | 1093246837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: PA DS044383) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: CO DEN00203879) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-12-29 |