| NPI | 1316310303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN 20703) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN20703) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2022-09-22 |