| NPI | 1285785626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DTP663) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 050066) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02284400) | |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2020-03-10 |