| NPI | 1174775068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 9856) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401412742) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2023-10-02 |