| NPI | 1316612054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 10474) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DRP2369) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 10649PD) | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2024-08-13 |