| NPI | 1306238167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NH 04769) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS040715) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2022-09-23 |