NPI | 1215001151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NE 6378) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IA 08137) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2018-04-15 |