| NPI | 1134197460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1000833) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401412558) |
| 122300000X Dentist (Licence: DC DEN1000833) | |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2020-07-01 |