| NPI | 1336454701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN20298) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 6816-15) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2017-06-14 |