NPI | 1184944753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN19029) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN19029) |
Enumeration Date | 2010-06-07 |
Last Update Date | 2023-04-17 |