| NPI | 1316273659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN122885) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.028075) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 15160) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1001183) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401414403) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2022-12-04 |