| NPI | 1346552569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AK 104910) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8978) |
| 122300000X Dentist (Licence: NC 8978) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2015-12-28 |