| 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 |