| NPI | 1235114463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL dn 17501) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 002632) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2020-07-13 |