| NPI | 1295412955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2023021396) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KS 62162) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NE 7927) | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2025-08-22 |