| NPI | 1104918945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 8238) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: KY 8238) |
| 1223G0001X Dentist, General Practice (Licence: KY 8238) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-09-18 |