| NPI | 1255790424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 16417) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD LL783) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2024-04-22 |