| NPI | 1346620929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 7038) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 16459) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN1001756) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-03-01 |