| NPI | 1275850687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: PA DS044380) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: KY 8925) |
| 1223P0221X Dentist Pediatric Dentistry (Licence: NC 9380) | |
| 1223P0221X Dentist Pediatric Dentistry (Licence: IN 12013473A) | |
| Enumeration Date | 2010-04-24 |
| Last Update Date | 2024-01-30 |