| NPI | 1164880399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN25724) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN25724) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: RI DEN03298) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2021-06-20 |