| NPI | 1316322233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0442000258) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 4186-21) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2024-08-14 |