| NPI | 1245610351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO DEN.00203889) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS040404) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS040404) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02671100) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2021-01-12 |