| NPI | 1194864884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AZ D011584) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: NV 2986) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-10-03 |